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Kimberly Moustoukkis
Mental Health Counselor in Bloomington, Illinois
NPI 1306206008

Kimberly Moustoukkis is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Kimberly Moustoukkis practices in Bloomington, IL. The NPI Number for Kimberly Moustoukkis is 1306206008 and holds a License No. (Illinois).

The current practice location address for Kimberly Moustoukkis is 1012 Ekstam Dr Ste 3, Bloomington, IL and can be reached out via phone at 309-455-5703. You can also correspond with Kimberly Moustoukkis through the mailing address at 1012 EKSTAM DR STE 3, BLOOMINGTON, IL - 61704-6383 (mailing address contact number: 309-455-5703).

Location: 1012 Ekstam Dr Ste 3, Bloomington, IL, 61704-6383
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Provider Profile Details
NPI Number
1306206008
Provider Name
Kimberly Moustoukkis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1012 Ekstam Dr Ste 3, Bloomington, IL, 61704-6383
Phone Number
309-455-5703
Fax Number
Provider Enumeration Date
02/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1012 Ekstam Dr Ste 3
City
State
Zip
61704-6383
Phone Number
309-455-5703
Fax Number
person
Provider Business Mailing Address Details
Address
1012 Ekstam Dr Ste 3
City
State
Zip
61704-6383
Phone Number
309-455-5703
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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